$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Wednesday, 10/19/05 at 10:02 ============================================================================= Run Date: NOV 10, 2005 Designation: LEX*2*37 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #36 Status: Released Compliance Date: NOV 17, 2005 ============================================================================= Associated patches: (v)LEX*2*36 <<= must be installed BEFORE `LEX*2*37' Subject: Code Set FY06 1st Qtr Update Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains the ICD update for FY 2006, effective Oct 1, 2005. It also contains minor changes to the CPT classification system. The data for patches LEX*2.0*37, ICD*18.0*18, and ICPT*6.0*25 is contained in the accompanying global host file. The data in LEX*2.0*37 affects the following files: ICD*18.0*18 80 ICD DIAGNOSIS 80.1 ICD OPERATION/PROCEDURE ICPT*6.0*25 81 CPT LEX*2.0*37 757 MAJOR CONCEPT MAP 757.001 CONCEPT USAGE 757.01 EXPRESSIONS 757.02 CODES 757.1 SEMANTIC MAP 757.9 CHANGE LOG 757.91 CHANGE FILE Note: A few days after the release of LEX*2.0*37 and ICD*18.0*18, patch ICD*18.0*20 will be released. It contains DRG-related data for the same ICD-9 codes contained in this patch and will include the annual VHA DRG Grouper Update. ENHANCEMENTS: ============= New Code Sets ICD Diagnosis Additions 173 codes 259.5 276.51 276.52 278.02 287.31 287.32 287.33 287.39 291.82 292.85 327.01 327.02 327.09 327.11 327.12 327.13 327.14 327.15 327.19 327.21 327.22 327.23 327.24 327.25 327.26 327.27 327.29 327.31 327.32 327.33 327.34 327.35 327.36 327.37 327.39 327.41 327.42 327.43 327.44 327.49 327.51 327.52 327.53 327.59 327.8 362.03 362.04 362.05 362.06 362.07 426.82 443.82 525.41 525.42 525.43 525.44 525.51 525.52 525.53 525.54 567.21 567.22 567.23 567.29 567.31 567.38 567.39 567.81 567.82 567.89 585.1 585.2 585.3 585.4 585.5 585.6 585.9 599.69 651.71 651.73 760.77 760.78 763.84 770.11 770.12 770.13 770.14 770.15 770.16 770.17 770.18 770.85 770.86 779.84 780.95 799.01 799.02 996.41 996.42 996.43 996.44 996.45 996.46 996.47 996.49 276.50 287.30 327.00 327.10 327.20 327.30 327.40 525.40 525.50 599.60 651.70 770.10 996.40 V12.42 V12.60 V12.61 V12.69 V13.02 V13.03 V15.88 V17.81 V17.89 V18.9 V26.31 V26.32 V26.33 V46.13 V46.14 V49.84 V58.11 V58.12 V59.70 V59.71 V59.72 V59.73 V59.74 V62.84 V64.00 V64.01 V64.02 V64.03 V64.04 V64.05 V64.06 V64.07 V64.08 V64.09 V69.5 V72.42 V72.86 V85.0 V85.1 V85.21 V85.22 V85.23 V85.24 V85.25 V85.30 V85.31 V85.32 V85.33 V85.34 V85.35 V85.36 V85.37 V85.38 V85.39 V85.4 ICD Operation/Procedure Additions 36 codes 37.41 37.49 39.73 84.56 84.57 84.58 84.71 84.72 84.73 86.97 86.98 00.18 00.40 00.41 00.42 00.43 00.45 00.46 00.47 00.48 00.66 00.70 00.71 00.72 00.73 00.74 00.75 00.76 00.80 00.81 00.82 00.83 00.84 01.26 01.27 92.20 HCPCS Additions 34 codes G0375 G0376 Q0480 Q0481 Q0482 Q0483 Q0484 Q0485 Q0486 Q0487 Q0488 Q0489 Q0490 Q0491 Q0492 Q0493 Q0494 Q0495 Q0496 Q0497 Q0498 Q0499 Q0500 Q0501 Q0502 Q0503 Q0504 Q0505 S2075 S2076 S2077 S2114 S2117 S3626 Re-Activated Code Sets ICD Operation/Procedure Re-Activations 1 code 81.18 Inactivated Code Sets ICD Diagnosis Inactivations 14 codes 276.5 287.3 567.2 567.8 585. 599.6 770.1 996.4 799.0 V12.6 V17.8 V26.3 V58.1 V64.0 ICD Operation/Procedure Inactivations 5 codes 36.01 36.02 36.05 37.4 81.61 Revised Codes ICD Diagnosis Revisions 28 codes 285.21 307.45 403.01 403.11 403.91 404.01 404.02 404.03 404.11 404.12 404.13 404.91 404.92 404.93 728.87 780.51 780.52 780.53 780.54 780.55 780.57 780.58 403.00 403.10 403.90 404.00 404.10 404.90 ICD Operation/Procedure Revisions 15 codes 37.79 78.11 78.12 78.13 78.14 78.15 78.16 78.17 78.18 78.19 81.53 81.55 86.94 86.95 78.10 CPT Revisions 28 codes 90680 90713 90714 0001F 0005F 1003F 1004F 1005F 1006F 1007F 1008F 2000F 2001F 2002F 2003F 2004F 3000F 3002F 4003F 4006F 4009F 4011F 4012F 4014F 4015F 4016F 4017F 4018F ROUTINE SUMMARY =============== The second line of each of these routines will look like: ;;2.0;LEXICON UTILITY;**[PATCH LIST]**;Sep 23, 1996 >> Old Checksum Format - Before XT*7.3*94 - CHECK^XTSUMBLD Checksums Checksums Routine Before Patch After Patch Patch List (2nd Line) -------- ------------- ------------- --------------------- LEX2037 15410520 37 LEX2037P 9048318 37 >> New Checksum Format - After XT*7.3*94 - CHECK1^XTSUMBLD Checksums Checksums Routine Before Patch After Patch Patch List (2nd Line) -------- ------------- ------------- --------------------- LEX2037 77279319 37 LEX2037P 26580429 37 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_37.GBL (ASCII) The preferred method is to FTP the files from download.vista.med.va.gov which will transmit the files from the first available FTP server. The files may also be downloaded directly from a particular FTP location at the following locations. Hines ftp.fo-hines.med.va.gov Albany ftp.fo-albany.med.va.gov Salt Lake ftp.fo-slc.med.va.gov Files are available in the ANONYMOUS.SOFTWARE directory. Installation Instructions: ========================== 1) Users may be on the system during the install of LEX*2.0*37. It is recommended that this patch be installed during non-peak hours. This patch should take less than 10 minutes to install. >>>>>>>>>>>>>>>>>>>>>>> IMPORTANT <<<<<<<<<<<<<<<<<<<<<<<<<< If you have installed LEX*2.0*37 into another account, and the Lexicon global ^LEX is translated into the current account, you may go directly to step 6 of the installation instructions. It is not necessary to install the data more than once per translation. >>>>>>> IMPORTANT <<<<<<<<<<<>>>>>>>>>> IMPORTANT <<<<<<<<< 2) Backup the following globals before continuing: ICD-9 Diagnosis #80 ^ICD9( ICD-9 Operations/Procedures #80.1 ^ICD0( CPT/HCPCS Codes #81 ^ICPT( Lexicon #757-757.41 ^LEX( 3) Make sure that the remnants of a previous import global do not exist on your system. If the global ^LEXM does exist, you will need to kill this global before proceeding. On a Cache system, the prevention of unsubscripted global kills is a system wide setting, but it can be allowed for a particular process using the $ZU command. The command for enabling unsubscripted global kills is: VAH>S X=$ZU(68,28,0) VAH>K ^LEXM The command for disabling unsubscripted kills for a process is S X=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_37.GBL. This file contains the Lexicon Utility's import global ^LEXM. Cache 3.2/4.1 - Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_37.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Cache 3.2/4.1 - Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: DEVICE:[DIRECTORY]LEX_2_37.GBL Parameters: "RS"=> Globals were saved on DD MMM YYYY HH:MM ?M Cache with description: LEX*2.0*37 Data Input option: A ^LEXM The loading of the global should take from 1 to 2 minutes. 5) Turn journaling off for globals ^ICPT, ^LEX and ^LEXC. Cache v3.2 - Journaling OFF Using the Cache Thin Client, right-click on the Cache cube, then select "Control Panel." Open the "Local Databases" folder, then open the folder where the ^LEX* globals reside. Right click ^LEX, select "Properties," and uncheck the "Journal global" box. Repeat for ^LEXC and ^ICPT globals. Cache v4.1 - Journaling OFF Journaling on a Cache system running version 4.1 of Cache cannot be disabled by individual global. Journaling CAN BE disabled for a user's current process. In this case, the process will be the installation of this patch. It is important to know that for this to work, the KIDS installation CANNOT be tasked off. The installation MUST be run on your screen for the disabled journaling to be in effect. To determine if your process has journaling enabled, you can call: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on To disable journaling for the current process: >D DISABLE^%NOJRN Double check your process to be sure journaling is disabled: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on Proceed with the installation remembering NOT to task off the install. 6) Set up user and IO variables (D ^XUP) for programmer access. 7) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." Environment Check: Only package components and system variables will be checked during the loading of the transport global. 8) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*37. The KIDS installation should take less than five minutes (with journaling off) depending on the number of users/jobs on the system. Environment Check: LEX*2.0*37 data exists: If the data for LEX*2.0*37 has been installed and is translated into the current account, then only package components and system variables will be checked. LEX*2.0*37 data does not exist: If the data for LEX*2.0*37 cannot be found (either in the current account or by translation), then the environment check routine will verify the import global ^LEXM by build namespace and global checksum. This is to ensure that the correct import global is loaded and that all of the data contained in the import global arrived at your site during the FTP transfer. If you have inadvertently loaded the wrong import global or the global fails the checksum, the install will stop and you will need to kill ^LEXM and FTP another copy of the import global (see the section on FTP Software Retrieval and steps 3 and 4 of the Installation Instructions). Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install? YES//" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. 9) Cleanup a) Check that the export global ^LEXM has been killed automatically. If it has not been automatically killed, you will need to kill the "unsubscripted" import global ^LEXM to prevent import global checksum errors on future installations. On a Cache system, the prevention of unsubscripted global kills is a system wide setting, but it can be allowed for a particular process using the $ZU command. The command for enabling unsubscripted global kills is: VAH>S X=$ZU(68,28,0) VAH>K ^LEXM The command for disabling unsubscripted kills for a process is S X=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. b) If journaling was turned off prior to installation, then the journaling must be turned back on when the installation is complete. Cache v3.2 - Journaling ON Using the Cache Thin Client, right-click on the Cache cube, then select "Control Panel." Open the "Local Databases" folder, then open the folder where the ^LEX* globals reside. Right click ^LEX, select "Properties," and check the "Journal global" box. Repeat for ^LEXC and ^ICPT globals. Cache v4.1 - Journaling ON Journaling on a Cache system running version 4.1 of Cache can be turned back on only for the user's current process. When the installation of this patch has completed (interactively - not tasked), you may enable journaling for the current process. To determine if your process has journaling disabled, you can call: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on To enable journaling for the current process: >D ENABLE^%NOJRN Double check your process to be sure journaling is enabled: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on c) If routines LEX2037 and LEX2037P are found on your system, they may be deleted upon completion of the installation. These routines are the environment check and post-install routines for this installation. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2037 Before: After: B77279319 **37** Description of Changes: Environment Check Routine for LEX*2.0*37, ICD*18.0*18 and CPT*6.0*25. Routine Name: LEX2037P Before: After: B26580429 **37** Description of Changes: Post-Install Routine for LEX*2.0*37, ICD*18.0*18 and CPT*6.0*25. ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : AUG 17, 2005 Completed By: BASKETT,BARBARA J Date Completed: NOV 07, 2005 Released By : BELSCHWINDER,MICHAEL Date Released : NOV 10, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT